Agatha Lee Park
ExpiredCalifornia license A33978
License
- Licensed by
- Medical Board of California
- License number
- A33978
- Status
- Expired (Delinquent)
- First issued
- June 21, 1979
- Expired
- February 28, 2023
- License holder
- Agatha Lee Park
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
222 W 80th St Apt 3B
New York, NY 10024-7070
New York, NY 10024-7070
New York County